Again, just shows how many variables there are, we have talked about
this often. My GP reccomended my Urologist, because he is considered one of the top in my state of SC. The urologist had no preference to where I wanted treatment. If he did the surgery, then he was ok'd to do surgery in our two biggest hospitals, including where I ended up, which has the best patient care in the state, year after year. He said if I would be more comfortable with another dr or surgeon in the cities, he would set me up with contacts in either Atlanta or Charlotte. When we discussed robotic vs
open, he said not to do it local at that time, as his partner was the only qualified surgeon at that time and had only done 15 or so. He said to go to Atlanta for that. When we discussed radiation as a primary, we both agreed that I would use my original oncologist if needed, one of the best in the country. I never detected that it was a setup to use him or his facilities. He always acted like he wanted what was best for me, and that I would have his full cooperation if I chose to work outside of him. Perhaps I was fortunate in just having a good, dedicated, caring, and patient-friendly urologist to start with, but that is why I went to him, because of his impecable reputation.
I have read posts here at HW, and some feel they have to have the big ticket, brand name, celebrity surgeon who's done 100,000 operations. Certainly someone's choice and if they have the resources to that. But there are lots of good local doctors and good local hospitals for the rest of us with financial restraints or limited insurance. We all know that driving a Rolls Royce to the grocery store doesn't get you there any better than in a Ford Focus, both accomplish the job.
The other thing I am curious about
, and I am only basing it on the stories and stats in our group here at HW, is it sure seems that some of the worse side effects, i.e. ED and incontinence are coming from the men that had robotic surgery. I was under the original impression, that with robotic, the side effects would be less severe, or perhaps I just misunderstood. The argument of staying in the hospital one day or four days is a mute one to me if you have good insurance. It is still major surgery either way and the poor body goes through hell. Hospitals are already bad enough about
rushing people out the doors. If I were in my early 40's and had never had a major op before, I might have been caught up in the technology of the robotic ops (nerd that I am), but I am at an age when I like a good older doctor and surgeon, lots on hands on experience, someone that has done hundreds of similar operations with a good reputation.
David in SC
56, 56 at DX, PSA
7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 6 month on 5/9